Background: Schools are the major locations for implementing children's dietary behavior related educational or interventional programs. Recently, there has been an increase in school-based nutrition interventions. The objective of this systematic review was to overview the evidence for the effectiveness of school-based nutrition intervention on fruit and vegetable consumption.
Methods: PubMed was used to search for articles on school-based nutrition interventions that measured students' fruit and vegetable consumption. Our search yielded 238 articles.The article was included if published in a peer-reviewed journal, written in English language,administered in the United States, and conducted among a population-based sample of children in Kindergarten through eighth grade. A total of 14 publications met the inclusion criteria.
Results: Eight articles successfully showed the positive effect on increasing fruit and or vegetable consumption while the other six did not. Several factors, including (but not limited to) intervention duration, type of theory used, style of intervention leadership, and positively affecting antecedents of fruit and vegetable consumption were compared; however, no dominant factor was found to be shared among the studies with significant findings. Given that the criteria for selection were high, the lack of consistency between interventions and positive outcomes was surprising.
Conclusion: With high levels of scrutiny and budget constraints on school nutrition, it is imperative that more research be conducted to identify the effective intervention components.
Keywords: Fruit and vegetable consumption; Nutrition intervention; School; Systematic Review.
Effects of a school-based nutrition program diffused throughout a large urban community on attitudes, beliefs, and behaviors related to fruit and vegetable consumption.J Sch Health. 2011 Sep;81(9):520-9. doi: 10.1111/j.1746-1561.2011.00622.x. J Sch Health. 2011. PMID: 21831064 Clinical Trial.
Factors Related to Fruit and Vegetable Consumption at Lunch Among Elementary Students: A Scoping Review.Prev Chronic Dis. 2018 May 10;15:E55. doi: 10.5888/pcd15.170373. Prev Chronic Dis. 2018. PMID: 29752802 Free PMC article.
Accessibility over availability: associations between the school food environment and student fruit and green vegetable consumption.Child Obes. 2014 Jun;10(3):241-50. doi: 10.1089/chi.2014.0011. Child Obes. 2014. PMID: 24872011 Free PMC article.
Impact of garden-based youth nutrition intervention programs: a review.J Am Diet Assoc. 2009 Feb;109(2):273-80. doi: 10.1016/j.jada.2008.10.051. J Am Diet Assoc. 2009. PMID: 19167954 Review.
School-based research and initiatives: fruit and vegetable environment, policy, and pricing workshop.Prev Med. 2004 Sep;39 Suppl 2:S101-7. doi: 10.1016/j.ypmed.2003.10.007. Prev Med. 2004. PMID: 15313079 Review.
Cited by 1 article
Study Design and Protocol to Assess Fruit and Vegetable Waste at School Lunches.Behav Sci (Basel). 2019 Sep 18;9(9):101. doi: 10.3390/bs9090101. Behav Sci (Basel). 2019. PMID: 31540381 Free PMC article.
- Hoelscher DM, Kirk S, Ritchie L, Cunningham-Sabo L, Academy Positions Committee. Position of the Academy of Nutrition and Dietetics: interventions for the prevention and treatment of pediatric overweight and obesity. J Acad Nutr Diet. 2013;113:1375–94. doi: 10.1016/j.jand.2013.08.004. - DOI - PubMed
- Academy of Nutrition and Dietetics. Evidence analysis manual: steps in the academy evidence process. Chicago, IL: Academy of Nutrition and Dietetics; 2012.
- CDC. Obese youth over time; 2014. Available from: http://www.cdc.gov/healthyyouth/obesity/obesity-youth.htm. Accessed June 2, 2014.
- CDC. Diabetes report card. http://www.cdc.gov/diabetes/pubs/pdf/diabetesreportcard.pdf. Accessed June 2, 2014. Published 2012.
- Story M, Kaphingst KM, French S. The role of schools in obesity prevention. Future Child. 2006;16:109–142. - PubMed